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社区慢性病管理对糖尿病前期患者糖代谢指标的改善作用

发布时间:2018-11-01 16:31
【摘要】:目的探讨社区慢性病管理对糖尿病(DM)前期(PDM)患者糖代谢指标的改善作用及其临床价值。方法 2011年6月至2012年5月筛选本社区被诊断为PDM前期440例,按随机数字表分为观察组和对照组,每组220例。观察组进行社区慢性病管理,对照组患者采用常规社区管理。每月检测患者糖代谢指标、体重和健康知识知晓率,每3个月检测糖化血红蛋白、血脂、尿微量白蛋白、心电图,每半年进行眼底检查、颈动脉彩超检查,记录患者DM进展情况。并录入健康档案,连续观察3年。结果观察组各方面知晓率建档前后比较差异显著(P0.05),且均高于对照组(P0.05)。建档后,两组患者空腹、餐后2 h血糖均比建档前降低,且观察组降低水平优于对照组(P0.05)。观察组进展为2型DM(T2DM)例数、眼底异常例数和心电图异常例数均明显低于对照组(P0.05)。结论社区慢性病管理可提高PDM患者的健康知晓率和血糖控制的效果,降低其进展为DM的发生率,是社区防治DM简单、有效、易行的重要方法。
[Abstract]:Objective to investigate the effect and clinical value of community chronic disease management on the improvement of glucose metabolism in patients with diabetes mellitus (DM) preterm (PDM). Methods from June 2011 to May 2012, 440 cases of PDM in our community were selected and randomly divided into observation group and control group with 220 cases in each group. Chronic disease management was carried out in the observation group and routine community management was used in the control group. Glucose metabolism index, body weight and knowledge rate of health were detected every month, glycosylated hemoglobin, blood lipid, urine microalbumin, electrocardiogram were detected every 3 months, fundus examination was carried out every six months, carotid artery color Doppler examination was performed. The progress of DM was recorded. The health records were recorded and observed for 3 years. Results there were significant differences in the awareness rate between the two groups before and after filing (P0.05), and were higher than those in the control group (P0.05). After filing, the fasting and 2 h postprandial blood glucose levels in the two groups were lower than those before the filing, and the decreasing level in the observation group was better than that in the control group (P0.05). The number of cases with type 2 DM (T2DM), abnormal fundus and abnormal ECG in the observation group were significantly lower than those in the control group (P0.05). Conclusion the management of chronic diseases in community can improve the health awareness rate and the effect of blood glucose control in PDM patients, and reduce the rate of progression to DM. It is a simple, effective and easy method to prevent and treat DM in community.
【作者单位】: 新疆奎屯市兵团第七师医院预防保健科;新疆奎屯市兵团一二三团疾控中心;
【分类号】:R587.1

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